Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
GERD (acid reflux) is a condition in which the acidified liquid
content of the stomach backs up into the esophagus.
The causes of GERD include an abnormal lower
esophageal sphincter, hiatal hernia, abnormal esophageal contractions, and
slow emptying of the stomach.
GERD may damage the lining of the esophagus, thereby
causing inflammation (esophagitis), although usually it does not.
The symptoms of uncomplicated GERD are heartburn,
regurgitation, and nausea.
Complications of GERD include ulcers and strictures of
cough and asthma, throat and laryngeal
inflammation, inflammation and infection of the lungs, and collection of fluid
in the sinuses and
Barrett's esophagus is a pre-cancerous condition that
requires periodic endoscopic surveillance for the development of cancer.
GERD may be diagnosed or evaluated by a trial of
treatment, endoscopy, biopsy,
X-ray, examination of the throat and larynx, 24
hour esophageal acid testing, esophageal motility testing, emptying studies of
the stomach, and esophageal acid perfusion.
GERD is treated with life-style changes, diet, antacids, histamine antagonists
(H2 blockers), proton pump inhibitors (PPIs), pro-motility drugs, foam barriers,
surgery, and endoscopy.
Reviewed by Charles Patrick Davis, MD, PhD on 12/23/2011
Soda Pop & Sleeping Pills Increase Nighttime Heartburn
Both carbonated soft drinks and commonly-used prescription sleeping pills can lead to nighttime heartburn, possibly indicative of a severe degree of gastroesophageal reflux disease (GERD), according to researchers.
Many years ago, Schatzki described a
smooth, benign, circumferential, and narrow ring of tissue in the lower end of
the esophagus (the food pipe that connects the mouth to the stomach). These rings